Richard Tanyi Agbortoko, PharmD
Pharmacist in Portland, ME. Individual provider (NPI-1).
NPI number1922418110
StatusActive
Last updated in NPPESApr 28, 2014
Details
- NPI
- 1922418110
- Entity type
- Individual (NPI-1)
- Name
- Richard Tanyi Agbortoko
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2014
- Last updated
- Apr 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PR12976 | ME | Yes |
Practice location
616 Forest AvePortland, ME 04101-1510
Phone 207-761-9454
Mailing address
62 Leland StApartment 1
Portland, ME 04103-2528
Phone 617-794-0293
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